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High Blood Sugar AM

For the past week my blood sugar has been high upon waking up in the AM. It ranges between 107 and 133. As soon as I eat and take my morning meds it lowers to normal levels. During the rest of the day my numbers are perfect. This happened back in October so my PCP tok me off insulin altogether and cut my oral meds in half. I can't get in to see her until the end of February and I was wondering if anyone has any suggestions what I might do in the meantime. I tried eating a high protein snack before bed. I also skipped my meds last night which helped a little (107 this morning). I'm so frustrated. I'm almost 7 months out and hoping to get off all diabetic meds eventually.

Edited by JeanaLuvsKisses

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  • I was Dx'd with Diabetes 6 years ago....subsequent to my surgery and weight loss, it has totally reversed....no more meds or injections!!! Having said that....my Glucose levels are always high first

  • Like I said, even though my morning readings continue to be high, overall things improved and I eventually got off all meds... I don't check my blood sugar all that much any more either...my A1C's ha

  • High levels at any time indicate damage being done to your tissues. I applaud you for being proactive and not just accepting that it is ok. Some people need to eat something before bed to control thos

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I was Dx'd with Diabetes 6 years ago....subsequent to my surgery and weight loss, it has totally reversed....no more meds or injections!!!

Having said that....my Glucose levels are always high first thing in the morning...always have been and still are today..

I get full lab work done every 4 months, and my fasting Glucose is always around 127 or so....but my A1C's are always good...and now, a little low which concerns my PCP a little....

He told me that some people just have high levels in the morning...just the way it is....

  • Author

Thanks for sharing, B-52. My last A1C was really good and my PCP was really pleased. Hopefully, despite my high morning reads I will have a good lab report again. I just want to be able to get off the meds altogether.

Like I said, even though my morning readings continue to be high, overall things improved and I eventually got off all meds...

I don't check my blood sugar all that much any more either...my A1C's have been good for 2 years now...

  • Author

Prior to surgery, my diabetes was out of control and I never knew how bad I felt until after the surgery and my diabetes became manageable. Now I test when I feel out of sorts which is why I've been testing like a maniac all week. I just "don't feel right" these past few mornings and sure enough my sugar is a little high.

Crazy now I know what "normal" is . . . at least when it comes to blood glucose levels. As for my mental health . . . I don't know if I will ever experience "normal". LOL

High levels at any time indicate damage being done to your tissues. I applaud you for being proactive and not just accepting that it is ok. Some people need to eat something before bed to control those fasting glucose levels. There is a great website / forum for diabetics called http://tudiabetes.com where you might find more advice for lowering the morning blood glucose. If you are using insulin you might need to use a different type of insulin before bed than you do before your meals. I'd also consider talking to your endo or diabetic educator because your GP might not be up on all the information specific to diabetes.

I completely agree that it's great that you're proactive about your fasting glucose. Anything over 110 is concerning because it means that glycogen is being released by your liver while you sleep. Do you take metformin? A string cheese and 500 mg of metformin got me to target 85 fasting numbers pre-surgery.

  • Author

I completely agree that it's great that you're proactive about your fasting glucose. Anything over 110 is concerning because it means that glycogen is being released by your liver while you sleep. Do you take metformin? A string cheese and 500 mg of metformin got me to target 85 fasting numbers pre-surgery.

I am currently taking onglyza 5mg in the am and glimpiride 2 mg in the pm.

Prior to surgery I was taking Janumet am & pm, glimpiride 4 mg am & pm as well as 10 units of Lantus at bedtime.

I have tried Peanut Butter, string cheese, cream cheese & celery, a scrambled egg and a few bites of chicken or shrimp (just one or the other). I will just muddle through until I can get into my PCP.

My husband was sleeved 12/2, me on 11/18. I am off Metformin (yay!!), and his BS is running 110 in the mornings, which is a far cry from the 350 he used to wake up to. I will take 110 any day but I so hope one day he will be off insulin. Diabetes has been the scariest part of my life with him and the sleeve is a Godsend = HOPE.

Google somogyi effect and dawn phenomenon - it could very well explain your elevated AM blood sugars.

  • Author

Google somogyi effect and dawn phenomenon - it could very well explain your elevated AM blood sugars.

I have heard/read about the dawn phenomenon. I was just concerned because my morning blood glucose was on the high side after being normal for a good while. However, the past three days they have ranged between 83-90. I don't know why my bs was high for a week or so. I'm happy that I've been waking up with good numbers and hope it stays that way.

I did have a problem with my blood sugar dropping to 52 yesterday afternoon. That was not fun!

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